What is Medicare Fraud?

Medicare fraud occurs when a hospital, nursing home, doctor's office, hospice care facility, ambulance service, pharmacy, rehabilitation center, or any other type of healthcare provider overbills Medicare.


Who can report Medicare fraud?

Medicare fraud whistleblowers are almost always healthcare professionals. They are commonly employed as hospital administrators, nurses, hospice or nursing home workers, ambulance drivers, pharmacists, or as any other type of healthcare professionals.

Receive a financial reward for your information.

Healthcare professionals may be entitled to a significant financial reward for becoming Medicare whistleblowers. Learn about receiving a financial reward for your information here.


Medicare Fraud News
Miami man sentenced to prison in "patient recruiter" Medicare fraud scheme
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On June 7, 2011, the US Department of Justice (DOJ) issued a press release indicating that a Miami man was sentenced to 77 months in prison for his participation in a $9 million Medicare fraud scheme in Detroit, Michigan.

UCB pays $34 million for improper off label drug promotion
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According to a June 9, 2011 US Department of Justice (DOJ) press release, UCB, Inc., Smyrna Georgia, pleaded guilty to off-label promotion of its drug Keppra. The company will pay more than $34 million to settle the case.

Florida radiology clinic settles Medicare fraud allegations
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The US Department of Justice (DOJ) issued a press release on June 8, 2011 saying a Florida radiology clinic and its former owners would pay $3 million to settle Medicare False Claims Act (FCA) allegations.

Novo Nordisk pays $25 million due to improper off-label drug promotion
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The US Department of Justice (DOJ), in a June 10, 2011 press release, said Danish pharmaceutical company, Novo Nordisk, will pay $25 million to resolve its civil liability and allegations of off-label promotion of NovoSeven.

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